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Publication : An Myh11 single lysine deletion causes aortic dissection by reducing aortic structural integrity and contractility.

First Author  Negishi K Year  2022
Journal  Sci Rep Volume  12
Issue  1 Pages  8844
PubMed ID  35614093 Mgi Jnum  J:344092
Mgi Id  MGI:7283606 Doi  10.1038/s41598-022-12418-8
Citation  Negishi K, et al. (2022) An Myh11 single lysine deletion causes aortic dissection by reducing aortic structural integrity and contractility. Sci Rep 12(1):8844
abstractText  Pathogenic variants in myosin heavy chain (Myh11) cause familial thoracic aortic aneurysms and dissections (FTAAD). However, the underlying pathological mechanisms remain unclear because of a lack of animal models. In this study, we established a mouse model with Myh11 K1256del, the pathogenic variant we found previously in two FTAAD families. The Myh11(K/K) aorta showed increased wall thickness and ultrastructural abnormalities, including weakened cell adhesion. Notably, the Myh11(K/+) mice developed aortic dissections and intramural haematomas when stimulated with angiotensin II. Mechanistically, integrin subunit alpha2 (Itga2) was downregulated in the Myh11(K/K) aortas, and the smooth muscle cell lineage cells that differentiated from Myh11(K/K) induced pluripotent stem cells. The contractility of the Myh11(K/K) aortas in response to phenylephrine was also reduced. These results imply that the suboptimal cell adhesion indicated by Itga2 downregulation causes a defect in the contraction of the aorta. Consequently, the defective contraction may increase the haemodynamic stress underlying the aortic dissections.
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